From fracture to joint injury: association between CT-based fracture characteristics and surgically treated non-bony injuries in tibial plateau fractures

Herteleer M, Van Brandt C, Vandoren C, Nijs S, Hoekstra H. Tibial plateau fractures in Belgium: epidemiology, financial burden and costs curbing strategies. Eur J Trauma Emerg Surg. 2022;48:3643–50. https://doi.org/10.1007/s00068-020-01525-8.

Article  PubMed  Google Scholar 

Bormann M, Neidlein C, Gassner C, Keppler AM, Bogner-Flatz V, Ehrnthaller C, et al. Changing patterns in the epidemiology of tibial plateau fractures: a 10-year review at a level-I trauma center. Eur J Trauma Emerg Surg [Internet]. 2022. https://doi.org/10.1007/s00068-022-02076-w. [cited 2022 Sep 22].

Article  PubMed  Google Scholar 

Wagener BL, Schlumberger M, Glaab R, Schoepp C, Scheidt S. Osteoligamentäre Kombinationsverletzung des Tibiakopfs. Knie J. 2025;7:243–53. https://doi.org/10.1007/s43205-025-00347-1.

Article  Google Scholar 

Hap DXF, Kwek EBK. Functional outcomes after surgical treatment of tibial plateau fractures. J Clin Orthop Trauma. 2020;11:S11–5. https://doi.org/10.1016/j.jcot.2019.04.007.

Article  PubMed  Google Scholar 

Jansen H, Frey SP, Doht S, Fehske K, Meffert RH. Medium-term results after complex intra-articular fractures of the tibial plateau. J Orthop Sci. 2013;18:569–77. https://doi.org/10.1007/s00776-013-0404-3.

Article  PubMed  Google Scholar 

Milenkovic S, Mitkovic M, Mitkovic M, Stojiljkovic P, Stojanovic M. Lateral tibial plateau fractures—functional outcomes and complications after open reduction and internal fixation. Int Orthop (SICOT). 2021;45:1071–6. https://doi.org/10.1007/s00264-020-04763-y.

Article  Google Scholar 

Klaut M, Berthold DP, Neidlein C, Stuby F, Pätzold R, Böcker W, et al. From early complications to delayed failures: Revision surgery after tibial plateau fracture fixation in 1027 cases. Injury. 2025;56:112543. https://doi.org/10.1016/j.injury.2025.112543.

Article  PubMed  Google Scholar 

Neidlein C, Watrinet J, Pätzold R, Berthold DP, Prall WC, Böcker W, et al. Patient-Reported Outcomes following Tibial Plateau Fractures: Mid- to Short-Term Implications for Knee Function and Activity Level. JCM. 2024;13:2327. https://doi.org/10.3390/jcm13082327.

Article  PubMed  PubMed Central  Google Scholar 

Bormann M, Neidlein C, Neidlein N, Ehrl D, Jörgens M, Berthold DP, et al. High Prevalence of Persistent Measurable Postoperative Knee Joint Laxity in Patients with Tibial Plateau Fractures Treated by Open Reduction and Internal Fixation (ORIF). JCM. 2023;12:5580. https://doi.org/10.3390/jcm12175580.

Article  PubMed  PubMed Central  Google Scholar 

Bala A, Penrose CT, Seyler TM, Mather RC, Wellman SS, Bolognesi MP. Outcomes after Total Knee Arthroplasty for post-traumatic arthritis. Knee. 2015;22:630–9. https://doi.org/10.1016/j.knee.2015.10.004.

Article  PubMed  Google Scholar 

Elsoe R, Johansen MB, Larsen P. Tibial plateau fractures are associated with a long-lasting increased risk of total knee arthroplasty a matched cohort study of 7,950 tibial plateau fractures. Osteoarthr Cartil. 2019;27:805–9. https://doi.org/10.1016/j.joca.2018.12.020.

Article  CAS  Google Scholar 

Hansen L, Larsen P, Elsoe R. Characteristics of patients requiring early total knee replacement after surgically treated lateral tibial plateau fractures—A comparative cohort study. Eur J Orthop Surg Traumatol. 2022;32:1097–103. https://doi.org/10.1007/s00590-021-03083-0.

Article  PubMed  Google Scholar 

Kester BS, Minhas SV, Vigdorchik JM, Schwarzkopf R. Total Knee Arthroplasty for Posttraumatic Osteoarthritis: Is it Time for a New Classification? J Arthroplast. 2016;31:1649–e16531. https://doi.org/10.1016/j.arth.2016.02.001.

Article  Google Scholar 

Oladeji LO, Worley JR, Crist BD. Age-Related Variances in Patients with Tibial Plateau Fractures. J Knee Surg. 2020;33:611–5. https://doi.org/10.1055/s-0039-1683893.

Article  PubMed  Google Scholar 

Saleh H, Yu S, Vigdorchik J, Schwarzkopf R. Total knee arthroplasty for treatment of post-traumatic arthritis: Systematic review. WJO. 2016;7:584. https://doi.org/10.5312/wjo.v7.i9.584.

Article  PubMed  PubMed Central  Google Scholar 

Scott BL, Lee CS, Strelzow JA. Five-Year Risk of Conversion to Total Knee Arthroplasty After Operatively Treated Periarticular Knee Fractures in Patients Over 40 Years of Age. J Arthroplast. 2020;35:2084–9.e1. https://doi.org/10.1016/j.arth.2020.03.041.

Article  Google Scholar 

Wasserstein D, Henry P, Paterson JM, Kreder HJ, Jenkinson R. Risk of Total Knee Arthroplasty After Operatively Treated Tibial Plateau Fracture: A Matched-Population-Based Cohort Study. J Bone Joint Surg. 2014;96:144–50. https://doi.org/10.2106/JBJS.L.01691.

Article  PubMed  Google Scholar 

Kraml N, Haslhofer DJ, Winkler PW, Stiftinger JM, Heidecke S, Kwasny O, et al. Tibial plateau fractures are associated with poor functional outcomes and a low conversion rate to total knee arthroplasty. Knee surg sports traumatol arthrosc. 2024;32:1308–16. https://doi.org/10.1002/ksa.12153.

Article  PubMed  Google Scholar 

Snoeker B, Turkiewicz A, Magnusson K, Frobell R, Yu D, Peat G, et al. Risk of knee osteoarthritis after different types of knee injuries in young adults: a population-based cohort study. Br J Sports Med. 2020;54:725–30. https://doi.org/10.1136/bjsports-2019-100959.

Article  PubMed  Google Scholar 

Thürig G, Korthaus A, Frosch K-H, Krause M. The value of magnetic resonance imaging in the preoperative diagnosis of tibial plateau fractures: a systematic literature review. Eur J Trauma Emerg Surg. 2023;49:661–79. https://doi.org/10.1007/s00068-022-02127-2.

Article  PubMed  Google Scholar 

Davis JT, Rudloff MI. Posttraumatic Arthritis After Intra-Articular Distal Femur and Proximal Tibia Fractures. Orthop Clin North Am. 2019;50:445–59. https://doi.org/10.1016/j.ocl.2019.06.002.

Article  PubMed  Google Scholar 

Schenker ML, Mauck RL, Ahn J, Mehta S. Pathogenesis and Prevention of Posttraumatic Osteoarthritis After Intra-articular Fracture. J Am Acad Orthop Surg. 2014;22:20–8. https://doi.org/10.5435/JAAOS-22-01-20.

Article  PubMed  PubMed Central  Google Scholar 

Wang L-J, Zeng N, Yan Z-P, Li J-T, Ni G-X. Post-traumatic osteoarthritis following ACL injury. Arthritis Res Ther. 2020;22:57. https://doi.org/10.1186/s13075-020-02156-5.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Oeckenpöhler S, Domnick C, Raschke MJ, Müller M, Wähnert D, Kösters C. A lateral fracture step-off of 2 mm increases intra-articular pressure following tibial plateau fracture. Injury. 2022;53:1254–9. https://doi.org/10.1016/j.injury.2021.12.053.

Article  PubMed  Google Scholar 

Alm L, Drenck TC, Frings J, Krause M, Korthaus A, Krukenberg A, et al. Lower Failure Rates and Improved Patient Outcome Due to Reconstruction of the MCL and Revision ACL Reconstruction in Chronic Medial Knee Instability. Orthop J Sports Med. 2021;9:232596712198931. https://doi.org/10.1177/2325967121989312.

Article  Google Scholar 

Ayeni OR, Chahal M, Tran MN, Sprague S. Pivot shift as an outcome measure for ACL reconstruction: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2012;20:767–77. https://doi.org/10.1007/s00167-011-1860-y.

Article  PubMed  Google Scholar 

Magnussen RA, Reinke EK, Huston LJ, Knee Group MOON, Briskin I, Cox CL, et al. Neither Residual Anterior Knee Laxity Up to 6 mm nor a Pivot Glide Predict Patient-Reported Outcome Scores or Subsequent Knee Surgery Between 2 and 6 Years After ACL Reconstruction. Am J Sports Med. 2021;49:2631–7. https://doi.org/10.1177/03635465211025003.

Article  PubMed  PubMed Central  Google Scholar 

Delamarter RB, Hohl M, Hopp E. Ligament injuries associated with tibial plateau fractures. Clin Orthop Relat Res. 1990;226–33.

Bird ML, Chenard KE, Gonzalez LJ, Konda SR, Leucht P, Egol KA. A Comparative Study of Clinical Outcomes and Functional Status after Knee Fracture and Knee Fracture Dislocation. J Knee Surg. 2023;36:695–701. https://doi.org/10.1055/s-0041-1741392.

Article  PubMed  Google Scholar 

Keppler L, Keppler AM, Ihle C, Minzlaff P, Fürmetz J, Beck M, et al. Patients with complex proximal tibial fractures overestimate the prognosis of their injury. Eur J Trauma Emerg Surg. 2022;48:1479–86. https://doi.org/10.1007/s00068-021-01644-w.

Article  PubMed  Google Scholar 

Hissnauer T-N, Krause M, Frings J, Frosch K-H. Chirurgische Zugänge zum Tibiakopf. OP-JOURNAL. 2019;34:107–16. https://doi.org/10.1055/a-0785-1655.

Article  Google Scholar 

Deutsche Gesellschaft für Orthopädie und Unfallchirurgie e.V. (DGOU). Tibiakopffrakturen. Version 1.0 (29.10.2021). Verfügbar unter:https://register.awmf.org/assets/guidelines/187-042l_S2k_Tibiakopffrakturen_2022-07.pdf, Zugriff am 28.12.2025.

Yacoubian SV, Nevins RT, Sallis JG, Potter HG, Lorich DG. Impact of MRI on Treatment Plan and Fracture Classification of Tibial Plateau Fractures. J Orthop Trauma. 2002;16:632–7. https://doi.org/10.1097/00005131-200210000-00004.

Comments (0)

No login
gif